2019 MHS Hall of Distinction Induction Banquet registration
5 p.m. Saturday, Sept. 14, 2019
Jones/Leedy/Bedford Banquet Room
Barnes Student Center
Indiana Wesleyan University
4201 S. Washington St., Marion

NOTE: Please provide information for EVERY attendee for which you are making a reservation.

Email address *
Your name (first and last) *
Your answer
Other ways to contact you (home phone, cell, whatever you prefer, please provide) *
Your answer
Names of other attendees for whom you are making a reservation (if none, type none) *
Your answer
Have you already purchased (paid for) your ticket(s)? *
Special meal request *
Required
Dietary restrictions / allergies *
Required
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